Long-Term Weight Loss after Bariatric Surgery in Patients Visited at Home Outside the Study Environment View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-11

AUTHORS

Elisabeth M H Mathus-Vliegen, The Dutch Bariatric Surgery Group

ABSTRACT

BACKGROUND: Bariatric surgery results in sustained weight loss in the majority of patients. The controlled setting of a trial, however, does not necessarily reflect the everyday routine practice. Therefore, to investigate the results of bariatric surgery in a more natural setting, patients were visited at home, outside a study and hospital environment. METHODS: Patients who underwent a vertical banded gastroplasty or a gastric bypass between 1980 and 1997 were eligible. Body weight and height were measured. Patients filled out general and health status questionnaires (Nottingham Health Profile (NHP)). RESULTS: Responses were obtained from 236/313 subjects (75%) with a mean +/- SD age of 42.9 +/- 10.2 years and a mean current body weight of 100.3 +/- 20.7 kg. A maximum weight loss of 48.2 +/- 18.4 kg or 70.8 +/- 22.4% excess weight loss was obtained after 17 +/- 15 months, of which 32.1 +/- 22.6 kg or 45.2 +/- 29.3%, respectively, was maintained at 8.2 +/- 4.5 years after the intervention. Males and females did not differ in weight loss. The type of operation had no influence. Age >50 years and a BMI >50 kg/m(2) were not related to a poor outcome, but a time lapse of >5 years since the operation resulted in a less well sustained weight loss. The subjective health status improved considerably, but less so with a smaller weight loss and longer lapse of time since the operation. Especially in females, the NHP still deviated substantially from Dutch norm values. CONCLUSIONS: Surgically obtained weight loss is satisfactory in patients outside a strictly controlled study setting. Health benefits are substantial, but are adversely affected by weight gain and time elapsed since the operation. More... »

PAGES

1508-1519

References to SciGraph publications

  • 2005-11. Recommendations Regarding Obesity Surgery in OBESITY SURGERY
  • 2000-12. Ten and more years after vertical banded gastroplasty as primary operation for morbid obesity in JOURNAL OF GASTROINTESTINAL SURGERY
  • 2000-10. Bariatric Surgery for Morbid Obesity in OBESITY SURGERY
  • 2003-04. Recommendations for Reporting Weight Loss in OBESITY SURGERY
  • 2003-11. Does obesity surgery improve psychosocial functioning? A systematic review in INTERNATIONAL JOURNAL OF OBESITY
  • 1993-11. The Role of Psychological Factors in Bariatric Surgery for Morbid Obesity: Identification of Psychological Predictors of Success in OBESITY SURGERY
  • 2002-10. Unemployment and obesity among young adults in a northern Finland 1966 birth cohort in INTERNATIONAL JOURNAL OF OBESITY
  • 2003-05. Psychosocial functioning in the obese before and after weight reduction: construct validity and responsiveness of the Obesity-related Problems scale in INTERNATIONAL JOURNAL OF OBESITY
  • 2005-08. Minimal Reporting Requirements for Weight Loss: Current Methods Not Ideal in OBESITY SURGERY
  • 2004-04. Impact of Patient Follow-Up on Weight Loss after Bariatric Surgery in OBESITY SURGERY
  • 2000-12. Quality of Life after Laparoscopic Adjustable Gastric Banding for Severe Obesity: Postoperative and Retrospective Preoperative Evaluations in OBESITY SURGERY
  • 1998-05. Psychological functioning of morbidly obese patients after surgical treatment in INTERNATIONAL JOURNAL OF OBESITY
  • 2003-08. Psychosocial Functioning Before and After Laparoscopic Adjustable Gastric Banding: a Cross-Sectional Study in OBESITY SURGERY
  • 1999-10. Long-Term Follow-up after Gastric Surgery for Morbid Obesity: Preoperative Weight Loss Improves the Long-Term Control of Morbid Obesity after Vertical Banded Gastroplasty in OBESITY SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1381/096089206778870003

    DOI

    http://dx.doi.org/10.1381/096089206778870003

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17132418


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    53 schema:description BACKGROUND: Bariatric surgery results in sustained weight loss in the majority of patients. The controlled setting of a trial, however, does not necessarily reflect the everyday routine practice. Therefore, to investigate the results of bariatric surgery in a more natural setting, patients were visited at home, outside a study and hospital environment. METHODS: Patients who underwent a vertical banded gastroplasty or a gastric bypass between 1980 and 1997 were eligible. Body weight and height were measured. Patients filled out general and health status questionnaires (Nottingham Health Profile (NHP)). RESULTS: Responses were obtained from 236/313 subjects (75%) with a mean +/- SD age of 42.9 +/- 10.2 years and a mean current body weight of 100.3 +/- 20.7 kg. A maximum weight loss of 48.2 +/- 18.4 kg or 70.8 +/- 22.4% excess weight loss was obtained after 17 +/- 15 months, of which 32.1 +/- 22.6 kg or 45.2 +/- 29.3%, respectively, was maintained at 8.2 +/- 4.5 years after the intervention. Males and females did not differ in weight loss. The type of operation had no influence. Age >50 years and a BMI >50 kg/m(2) were not related to a poor outcome, but a time lapse of >5 years since the operation resulted in a less well sustained weight loss. The subjective health status improved considerably, but less so with a smaller weight loss and longer lapse of time since the operation. Especially in females, the NHP still deviated substantially from Dutch norm values. CONCLUSIONS: Surgically obtained weight loss is satisfactory in patients outside a strictly controlled study setting. Health benefits are substantial, but are adversely affected by weight gain and time elapsed since the operation.
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